Career Home » Career * Required fields Application Date* Personal Information Name: Address: Referred by: Are you 18 years of age older?* YesNo Employment Desired Choose which store are you applying for?*3315 Ridge Rd, Lansing400 E 159th St, Harvey500 E North Ave, Glendale Heights1805 W Algonquin Rd Mount Prospect1190 E Dundee Rd Palatine230 W Virginia St Crystal Lake17 Towne Centre Ln Fox Lake106 W Sumner St Harvard Choose position*Meat DepartmetProduce DepartmetTaqueriaCajasLineas Date you can start* Are you employed now?*YesNo If so may we inquire of your present employer? YesNo Have you ever worked at any La Rosita Fresh Market?* YesNo Desired work schedule (Example: 8am – 4pm) Monday* Tuesday* Wednesday* Thursday* Friday* Saturday* Sunday* Former employers List below your last four employers, starting with the last one first. From To From To From To From To References List below two persons not related to you, whom you have known at least one year. Education High School Last year completed 1234 Did you graduate? YesNo College Last year completed 1234 Did you graduate? YesNo Others Last year completed 1234 Did you graduate? YesNo I certify that the facts contained in this application (and accompanying resume, if any) are true and complete to the best of my knowledge. I understand that any false statement, omission, or misrepresentation on this application is sufficient cause for refusal to hire, or dismissal if I have been employed, no matter when discovered by the Company. I authorize investigation of all statements contained herein and the references listed to give you any and all information concerning my previous employment and any pertinent information they may have and I release all parties from all liability for any damage that may result from furnishing the same to you. I understand and agree that if hired my employment is "at-will", there is no definite period of employment and may, regardless of the date of payment of my wages or salary, be terminated at any time without prior notice and without cause. I also understand and agree that for the first 90 days of my employment I will be an introductory employee subject to termination without cause and without prior notice.
